Ritterband D R
Virginia Commonwealth University, Richmond, USA.
J Healthc Manag. 2000 Jul-Aug;45(4):255-66.
Disease management is a holistic, patient-focused approach to the treatment of disease across the spectrum of healthcare delivery. In its current form, disease management was created in response to the societal and economic burden that chronic illness contributes. There has recently been rapid growth in the development of disease management programs and sponsors are widespread within the industry, with the largest increase in independent vendors. Although growth has been substantial, the hurdles these programs have encountered have kept them from reaching their full potential. The challenges that exist include clinical, financial, and regulatory issues, and these challenges have significant meaning to healthcare managers. In deciding whether to develop or enhance programs, executives must consider their capability of outcomes measurement, their provider relationships, and the arrangements for program implementation. Ultimately, if programs provide improved health and quality of life for participants, cost savings will follow.
疾病管理是一种全面的、以患者为中心的方法，用于在整个医疗服务范围内治疗疾病。以其目前的形式，疾病管理是为应对慢性病造成的社会和经济负担而创建的。最近，疾病管理项目的发展迅速，行业内的赞助商广泛存在，其中独立供应商的增长最为显著。尽管增长幅度很大，但这些项目遇到的障碍使其无法充分发挥潜力。存在的挑战包括临床、财务和监管问题，这些挑战对医疗保健管理者具有重要意义。在决定是否开发或加强项目时，管理人员必须考虑其成果衡量能力、与提供者的关系以及项目实施安排。最终，如果项目能为参与者改善健康状况和生活质量，成本节约也将随之而来。
